Individual provider · Type 1 NPI

Kelly Jane Smith, RADT

Addiction (Substance Use Disorder) Counselor · Oceanside, CA

NPI number 1366072449 Active

Practice location

3230 Waring Ct Ste A
Oceanside, CA 92056-4509

Fax (760) 509-4410

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI37300123 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366072449

Kelly Jane Smith, RADT's National Provider Identifier is 1366072449, issued on Jan 17, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oceanside, CA. The record was last updated on Oct 31, 2023.